Individual
CASSANDRA ROSE WILMOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2231 BURDETT AVE STE 230, TROY, NY 12180-2447
(518) 271-5279
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
2020114727
NY
363LF0000X
Family Nurse Practitioner
Primary
346231
NY
Other
Enumeration date
11/20/2020
Last updated
06/01/2021
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